Reconstruction of the Thumb by Precision Technique 9 at Urgent Care Rendering
V. V. Azolov , N. M. Aleksandrov , S. V. Pertov
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1998, Vol. 5 ›› Issue (3) : 9 -13.
Reconstruction of the Thumb by Precision Technique 9 at Urgent Care Rendering
Expediency of the thumb reconstruction at the time of urgent care rendering is presented. It is detected that primary reconstruction of the thumb can be performed using either the transfer of hand segments or the transplantation of foot segments on microvascular anastomosis. It is shown that the treatment is considerably more effective when the segments of the injured hand are transferred. When performing such operations the use of precision technique provides reliable prevention of venous insufficiency in the reconstructed thumb. The elaborated method of the plasty of the radial hand margin enabled to achieve acceptable treatment results in cases of thumb avulsion accompanied by the injury of the bone and soft tissue deficit.
finger reconstruction / urgent care / primary reconstructive surgery / microsurgical technique / transplantation
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